Individual
MUTHIAH VADUGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2865
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0896
(857) 307-0899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-251738
MA
207RC0000X
Cardiovascular Disease Physician
Primary
262691
MA
Other
Enumeration date
06/12/2012
Last updated
07/23/2019
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